Individual
RENE L MILLIMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10180 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-8970
(503) 571-4694
Mailing address
10180 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-8970
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
201142844RN
OR
Other
Enumeration date
04/24/2022
Last updated
04/24/2022
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